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Selective muscle weakness in Achilles tendinopathy: is it time to look beyond the soleus?
Journal article

Selective muscle weakness in Achilles tendinopathy: is it time to look beyond the soleus?

Gabriel L Fernandes, Lucas B R Orssatto, François Hug and Gabriel S Trajano
Exercise and Sport Sciences Reviews, Vol.First online
10/02/2026

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Abstract

Plantarflexor weakness in Achilles tendinopathy has long been attributed to soleus dysfunction. However, recent neurophysiological and biomechanical evidence challenges this view, suggesting selective deficits in gastrocnemius lateralis muscle-tendon unit. This article re-examines the role of the triceps surae in Achilles tendinopathy and proposes a shift toward assessing gastrocnemius lateralis deficits and targeting rehabilitation to restore its function.

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